Organization
CENTER FOR FACIAL PLASTIC SURGERY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY S. CHURCHILL M.D. (OWNER)
(847) 304-1000
Entity
Organization
Contact information
Practice address
515 WEST OLD NORTHWEST HIGHWAY, BARRINGTON, IL 60010-6828
(847) 304-1000
(847) 304-1182
Mailing address
515 W OLD NORTHWEST HWY, BARRINGTON, IL 60010-6828
(847) 304-1000
(847) 304-1182
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
NOT NEEDED
IL
Other
Enumeration date
04/12/2007
Last updated
03/18/2015
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